影响社区老年人平衡能力相关因素的调查研究  

A study on risk factors for balance capacity deficiency in community elderly people

作　　者：梁梅[1] 胡才友[1] 吕泽平 张为[1] 吕渊[1] 徐薇[1] 李海洪[1] LIANG Mei;HU Caiyou;LYU Zeping;ZHANG Wei;LYU Yuan;XU Wei;LI Haihong(Department two of Neurology, Jiangbin hospital, Guangxi Zhuang Autonomous Region, Nanning 530028;Rehabilitation hospital affiliated to national rehabilitation assistive device research center, Beijing 100176, China)

机构地区：[1]广西壮族自治区江滨医院神经内二科,530028 [2]国家康复辅具研究中心附属康复医院,100176

出　　处：《中国老年保健医学》2020年第3期18-22,共5页Chinese Journal of Geriatric Care

基　　金：国家科技支撑计划(课题名称:社区老年人认知和平衡功能障碍的工程干预研究及应用示范,课题编号:2015BAI06B2);广西壮族自治区卫生和计划生育委员会自筹经费科研课题(课题名称:反复经颅磁刺激对老年卒中后抑郁的疗效及对血清BDNF影响的相关性研究,编号:Z20170613)。

摘　　要：目的分析影响社区老年人平衡能力的相关因素。方法利用调查问卷的方式对南宁市某社区1250名老年人(年龄≥60岁)进行调查,评估平衡能力,并对影响老年人平衡能力的相关因素进行单因素及无序多分类logistic回归分析。结果80岁以上(OR=4.91,95%CI:2.674~9.014),男性(OR=1.838,95%CI:1.164~2.901)、抑郁(OR=12.307,95%CI:5.48~27.637)、服用抗精神药物(OR=2.489,95%CI:1.232~5.026)、患中枢系统疾病(OR=8.346,95%CI:5.173~13.466)、肌肉骨骼系统疾病(OR=2.542,95%CI:1.62~3.989)是老年人平衡能力的危险因素(P<0.05)。运动(OR=0.266,95%CI:0.164~0.432)是平衡能力的保护因素(P<0.05)。结论避免抑郁等相关疾病的同时积极倡导运动,可延缓老年人平衡能力下降。Objective To analyze the relative factors influencing the balance capacity in elderly people.Methods An investigation was conducted in 1250 elderly people from an community in Nanning.The balance capacity of elderly people was analyzed.Univariate analysis and unordered multi class logistic regression were used to analyze the relative factors probably influencing the balance capacity of elderly people.Results Unordered multi class logistic regression analysis results showed that Over 80 years old(OR=4.91,95%CI:2.674~9.014),male(OR=1.838,95%CI:1.164~2.901),depression(OR=12.307,95%CI:5.48~27.637),antipsychotic medication(OR=2.489,95%CI:1.232~5.026),central nervous system disease(OR=8.346,95%CI:5.173~13.466)abnormal musculoskeletal system(OR=2.542,95%CI:1.62~3.989)were the risk factors for the elderly with poor balance(P<0.05),while exercise(OR=0.266,95%CI:0.164~0.432)was a protective factor for the elderly with poor balance(P<0.05).Conclusion Besides gender,avoiding the risk factors such as depression and other related diseases and actively advocate sports can delay the decline of balance ability of the elderly.

关 键 词：社区 老年 平衡能力 

分 类 号：R74[医药卫生—神经病学与精神病学]